新生儿护士对早产儿视网膜病变检查期间疼痛管理的了解与感受：一项定性研究
What do Neonatal Nurses Know and Feel About Pain Management During Retinopathy of Prematurity Examination: A Qualitative Research.
作者信息
Metreş Özlem, Aykanat-Girgin Burcu, Gözen Duygu
机构信息
İstanbul Bilim University, Department of Pediatric Nursing, İstanbul, Turkey.
Health Sciences University, Faculty of Nursing, Department of Pediatric Nursing, Istanbul, Turkey.
出版信息
Florence Nightingale Hemsire Derg. 2019 Jun 1;27(2):133-142. doi: 10.26650/FNJN18009. eCollection 2019 Jun.
AIM
The purpose of this study was to determine feelings, pain-related knowledge, and pain management-related practices of neonatal intensive care nurses during the retinopathy of prematurity examination.
METHOD
The descriptive qualitative research design was used. In the study, the individual in-depth interviews were conducted with nurses by using the interview form with semi-structured open-ended questions. The data were evaluated by using the MAXQDA12.
RESULTS
Two main themes were formed as "neonatal pain" and "retinopathy of prematurity examination" in line with the thematic analysis. In the study, it was determined that the nurses were able to limitedly identify the pain-induced physiological and behavioral symptoms in newborns, could not evaluate the symptoms and levels of pain by using pain scales with proven validity and reliability. The results indicated that the nurses provided the care based on their observations rather than evidence-based knowledge in the pain management.
CONCLUSION
Nurses should be informed through evidence-based training programs and supported to transfer the acquired knowledge into practice. And the results emphasizes that the subject of pain and pain management should be inserted in nursing education cirruculum.
目的
本研究旨在确定新生儿重症监护护士在早产儿视网膜病变检查期间的感受、疼痛相关知识以及疼痛管理相关做法。
方法
采用描述性定性研究设计。在研究中，通过使用带有半结构化开放式问题的访谈表对护士进行个人深度访谈。使用MAXQDA12对数据进行评估。
结果
根据主题分析，形成了两个主要主题，即“新生儿疼痛”和“早产儿视网膜病变检查”。研究发现，护士能够有限地识别新生儿疼痛引起的生理和行为症状，无法使用具有有效效度和信度的疼痛量表评估症状和疼痛程度。结果表明，护士在疼痛管理中是基于观察而非循证知识提供护理。
结论
应通过循证培训项目让护士了解相关知识，并支持他们将所学知识应用于实践。研究结果强调，疼痛及疼痛管理主题应纳入护理教育课程。
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